<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Order_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-order_id" data-rule="required" data-source="order/index" class="form-control selectpage form-control" name="row[order_id]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Auth_status')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-auth_status" data-rule="required" class="form-control form-control" name="row[auth_status]" type="number">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Payment_img')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-payment_img" data-rule="required" class="form-control form-control" name="row[payment_img]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Payed_img')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-payed_img" data-rule="required" class="form-control form-control" name="row[payed_img]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Enjoyed_img')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-enjoyed_img" data-rule="required" class="form-control form-control" name="row[enjoyed_img]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('One_house')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-one_house" data-rule="required" class="form-control form-control" name="row[one_house]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Two_house')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-two_house" data-rule="required" class="form-control form-control" name="row[two_house]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Three_house')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-three_house" data-rule="required" class="form-control form-control" name="row[three_house]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Pro_search_img')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-pro_search_img" data-rule="required" class="form-control form-control" name="row[pro_search_img]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Main_cat_img')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-main_cat_img" data-rule="required" class="form-control form-control" name="row[main_cat_img]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Main_img_up')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-main_img_up" data-rule="required" class="form-control form-control" name="row[main_img_up]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Main_img_mid')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-main_img_mid" data-rule="required" class="form-control form-control" name="row[main_img_mid]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Main_img_low')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-main_img_low" data-rule="required" class="form-control form-control" name="row[main_img_low]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Pro_collect_img')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-pro_collect_img" data-rule="required" class="form-control form-control" name="row[pro_collect_img]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Store_collect_img')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-store_collect_img" data-rule="required" class="form-control form-control" name="row[store_collect_img]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Fake_chat_img')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-fake_chat_img" data-rule="required" class="form-control form-control" name="row[fake_chat_img]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('On_time')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-on_time" data-rule="required" class="form-control datetimepicker form-control" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[on_time]" type="text" value="{:date('Y-m-d H:i:s')}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Update_time')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-update_time" data-rule="required" class="form-control datetimepicker form-control" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[update_time]" type="text" value="{:date('Y-m-d H:i:s')}">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
